Individual
DR. LADIA M KONZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 E WOOD ST, EMERGENCY CENTER, SPARTANBURG, SC 29303-3040
(864) 560-6000
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
27304
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
189211
MEDCOST
SC
01
—
20051875
SELECT HEALTH CHOICE
SC
05
—
273046
—
SC
01
—
7584616
AETNA
SC
05
—
89067KW
—
NC
Enumeration date
05/17/2006
Last updated
02/01/2021
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